| Augusta Pediatric Dentistry | |
|
104 Kings Chapel Rd Augusta GA 30907-4001 | |
| (706) 860-2244 | |
| (706) 860-2248 |
| Full Name | Augusta Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 104 Kings Chapel Rd, Augusta, Georgia |
| Authorized Official Name and Position | Phillip H Miller (DENTIST) |
| Authorized Official Contact | 7068602244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Pediatric Dentistry 104 Kings Chapel Rd Augusta GA 30907-4001 Ph: () - | Augusta Pediatric Dentistry 104 Kings Chapel Rd Augusta GA 30907-4001 Ph: (706) 860-2244 |
| NPI Number | 1437299542 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 11/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437299542 | NPI | - | NPPES |
| 000050421A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN007974 (Georgia) | Primary |
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